Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.27 / $189.48 / $189.48	Facility		$121.27	$189.48	$189.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $80.53 / $94.36	Professional		$78.63	$80.53	$94.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $418.45 / $418.45	Facility		$100.00	$418.45	$418.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $94.74 / $138.08	Professional		$80.53	$94.74	$138.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $83.69 / $334.76	Facility		$80.53	$83.69	$334.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $83.69 / $83.69	Professional		$80.53	$83.69	$83.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.62 / $79.58 / $87.53	Professional		$71.62	$79.58	$87.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $79,999.20 / $79,999.20	Facility		$90.00	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.73 / $0.73 / $0.73	Facility		$0.73	$0.73	$0.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $83.69 / $83.69 / $92.06	Facility		$83.69	$83.69	$92.06
United Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $94.74 / $94.74	Professional		$72.95	$94.74	$94.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $73.08 / $73.08	Professional		$73.08	$73.08	$73.08